Individual
MR. MICHAEL JUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1577 GOODMAN AVE, A, CINCINNATI, OH 45224-1004
(513) 521-3600
(513) 521-6400
Mailing address
1577 GOODMAN AVE, A, CINCINNATI, OH 45224-1004
(513) 521-3600
(513) 521-6400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35067345
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2284380
—
OH
Enumeration date
11/01/2006
Last updated
09/11/2024
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